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A Case of Bilateral Tension Pneumothorax after the Successful CO2 Laser-assisted Removal of a Bronchial Foreign Body in a Child

문인권, 주여림, 이상준, 우승훈,
소속 상세정보
문인권 ( Mun In-Kwon ) - Dankook University College of Medicine Department of Otolaryngology-Head and Neck Surgery
주여림 ( Ju Yeo-Rim ) - Dankook University College of Medicine Department of Otolaryngology-Head and Neck Surgery
이상준 ( Lee Sang-Joon ) - Dankook University College of Medicine Department of Otolaryngology-Head and Neck Surgery
우승훈 ( Woo Seung-Hoon ) - Dankook University College of Medicine Department of Otolaryngology-Head and Neck Surgery

Abstract


Bronchial foreign body aspiration (BFA) is a common but emergent condition in infants and children. Furthermore, it can result in various complications such as atelectasis, pneumonia, bronchiectasis, and pneumothorax. Among these, pneumothorax is a very rare complication. However, it can be fatal without the swift implementation of appropriate treatment. We experienced a case of 16-month-old girl with an aspirated peanut. The foreign body was fixed in her left main bronchus. A CO2 laser was used to safely cut and break the foreign body. Removal was successful after breaking it. But after the process, inflammatory tissue of the tracheal mucosa was ruptured. Bilateral tension pneumothorax followed after the rupture. The patient was treated with bilateral chest tube insertion. Here we present this BFA case with a rare and unexpected complication. We also review the appropriate literature.

키워드

Foreign body; Tension pneumothorax; Chest tubes; CO2 laser

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